MEDICARE: TRU COMMUNITY CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	170324	CO
2	315D00000X	Inpatient Hospice	17R718	CO
3	251G00000X	Community Based Hospice Care Agency	0179	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477556934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU COMMUNITY CARE

Provider Business Mailing Address
First Line	:	2594 TRAILRIDGE DRIVE EAST
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3187
Country	:	US
Telephone Number	:	303-449-7740
Fax Number	:	303-604-5393

Provider Business Practice Location Address
First Line	:	2594 TRAILRIDGE DRIVE EAST
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3187
Country	:	US
Telephone Number	:	303-449-7740
Fax Number	:	303-604-5393

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. SCOTT GRESSER
Credential	:
Telephone Number	:	303-604-5241

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	03/27/2024

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Directions to “TRU COMMUNITY CARE ” Practice Location

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